Blackledge, Amber R.

Blackledge, Amber R. is an individual health care provider with primary practice located at 4 Northridge Dr , Buckhannon WV 26201-8482. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Blackledge, Amber R. can be contacted via phone (304) 473-1440.

Contact Information

Primary practice address
4 Northridge Dr Buckhannon WV 26201-8482
Phone: (304) 473-1440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA060316 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA060316 Pennsylvania

Profile Details

NPI number 1316410665
LBN Legal business name Blackledge, Amber R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2019
Last updated Jan 9th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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